Grief Experience And Support Needs Of Japanese Health Care Professionals Working In Palliative Care
Funder
National Health and Medical Research Council
Funding Amount
$60,012.00
Summary
The grief experiences of health professionals and their impact have not been identified as significant issues in palliative care settings. Nevertheless, health professional's grief may lead to burn out and reduce the effectiveness of care that they can provide to others. This research aims to identify Japanese nurses’ grief experience when they work in palliative care, the factors affecting their grief and will make recommendations about essential staff support systems.
Evaluation Of An Instrument For Management Of Behavioural And Psychological Symptoms Of Dementia.
Funder
National Health and Medical Research Council
Funding Amount
$598,468.00
Summary
Behavioural and Psychological Symptoms of Dementia (BPSD) distress the patient and others. The behaviours, and not the underlying causes, are often treated with antipsychotics, despite side effects and low efficacy. An assessment instrument for care staff to determine and address causes of BPSD will be implemented. We predict training will reduce inappropriate prescribing and other reasons for distress. Where medication is required, detailed information will assist more targeted prescribing.
Trial Of Structured Support To Enhance The Role Of Non-GP Staff In Chronic Disease Management In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$780,625.00
Summary
Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline bas ....Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline based treatment plans; more intensive follow up and registries that provide reminders and feedback. While some of these approaches have been pursued within the Coordinated Care Trials and the Enhanced Primary Care (EPC) program in Australia, the role of non medical staff within general practice in chronic disease care has not been systematically investigated. In 2001 the Commonwealth introduced a number of initiatives to support better quality of care for diabetes and asthma in general practice and $104.2 million over four years was provided for general practices in areas of high workforce pressure to employ more Nurses. The roles of the Practice Manager and Receptionist have received much less attention. They include faclitating access to care, supporting the delivery of quality clinical care by the practitioners through the provision of expert management services (primarily information technology, staff, financial and facilities management) to the practice. With recent government initiatives expanding the role of general practice in Australia, effective management structures and processes within general practices are vital. Non-GP general practice staff may be the means by which more effective chronic disease management can be achieved at a time of increasing workforce pressure. This project aims to evaluate the impact of a program in which non-GP staff are trained and facilitated to be involved in the management of patients with chronic disease.Read moreRead less
Optimising Computerised Decision Support To Transform Medication Safety And Reduce Prescriber Burden
Funder
National Health and Medical Research Council
Funding Amount
$325,546.00
Summary
As medication management in Australian hospitals shifts from paper to electronic formats, organisations are faced with a difficult decision: should drug-drug interaction (DDI) alerts be turned on and if so, which alerts? In this study, we propose a highly innovative approach to assess DDI alerts, which combines a robust evaluation of error rates with a human factors evaluation of alerts.
Managing knowledge in telehealth projects: creating better solutions and improving patient care. Telehealth is the use of information and communication technologies for the delivery of healthcare and medical education across a distance. This project will propose more effective ways to support telehealth initiatives by managing the knowledge and expertise that is an integral part of such projects, resulting in improved outcomes.
Immersive Technologies for Rapid Metallic Tank Inspection and Repairs. Metal tank silos house some of the most dangerous chemicals, which erode the internal structure of the tank over time. It is critical to check the integrity of the tank to prevent disasters from occurring. NDE solutions uses a rapid motion scanner (RMS) to scan the interior surface of the container while it is still full of its storage material. It is the aim of this project to use Augmented Reality, to overlay the scan provi ....Immersive Technologies for Rapid Metallic Tank Inspection and Repairs. Metal tank silos house some of the most dangerous chemicals, which erode the internal structure of the tank over time. It is critical to check the integrity of the tank to prevent disasters from occurring. NDE solutions uses a rapid motion scanner (RMS) to scan the interior surface of the container while it is still full of its storage material. It is the aim of this project to use Augmented Reality, to overlay the scan provided by the RMS, onto the worker's view of the tank, control the robot via. hand gestures, and facilitate remote training/guidance. The result will allow for inspection workers to quickly and accurately the location of critical failures, without performing the hazardous procedures of internal tank inspection. Read moreRead less
Methodology for assessing the vulnerability of multimodal transport networks and developing remedial measures to safeguard network performance. When transport networks fail, the effects on people and the economy can be devastating. The consequences for Hobart of the 1975 Tasman Bridge collapse provide a prime example. Failure may also result from extreme weather and natural disasters, traffic congestion and incidents, commercial failure, human error, or malevolence (such as sabotage). This proje ....Methodology for assessing the vulnerability of multimodal transport networks and developing remedial measures to safeguard network performance. When transport networks fail, the effects on people and the economy can be devastating. The consequences for Hobart of the 1975 Tasman Bridge collapse provide a prime example. Failure may also result from extreme weather and natural disasters, traffic congestion and incidents, commercial failure, human error, or malevolence (such as sabotage). This project will develop a methodology for auditing a transport network to identify where infrastructure failure will have the worst consequences for movement of people and goods. The research will provide tools for planners to determine critical network locations, and devise strategies and remedial measures to safeguard network performance.Read moreRead less
The mathematics and language of engineering uncertainty, preference and utility. Australian engineering firms are principals in many high-profile projects. To defend their position, they must demonstrate both sound engineering and quality processes, which by international standards includes the traceability of decisions. Yet, there are few tools to vet the multitude of decisions that go into large-scale engineering works. This project aims to form mathematical models of decision-making based on ....The mathematics and language of engineering uncertainty, preference and utility. Australian engineering firms are principals in many high-profile projects. To defend their position, they must demonstrate both sound engineering and quality processes, which by international standards includes the traceability of decisions. Yet, there are few tools to vet the multitude of decisions that go into large-scale engineering works. This project aims to form mathematical models of decision-making based on the language modelling of what is written in engineering documentation about the bases of decisions. The new methods will help decision makers to pinpoint irrationalities in decisions and notify them of possible errors. The research can therefore be applied to important problems in the engineering sector such as risk management.Read moreRead less
An Investigation Into The Policies And Provision Of Seclusion In Three Health Care Settings In South Australia
Funder
National Health and Medical Research Council
Funding Amount
$61,088.00
Summary
The study will investigate the policies and practices of seclusion in both traditional nursing and corrections health clinical settings in South Australia; a much under-researched but, nevertheless, important and contentious area. It will compare and contrast the formal policies and guidelines pertaining to seclusion and its place within the therapeutic philosophy of the facility. It will also consider the de facto practices, the physical provisions for seclusion areas and their relationship to ....The study will investigate the policies and practices of seclusion in both traditional nursing and corrections health clinical settings in South Australia; a much under-researched but, nevertheless, important and contentious area. It will compare and contrast the formal policies and guidelines pertaining to seclusion and its place within the therapeutic philosophy of the facility. It will also consider the de facto practices, the physical provisions for seclusion areas and their relationship to the wider ward environment, the ward audit and records of the use of seclusion and related practice. Furthermore, through interviews with direct care staff, it will examine personal and professional reflections on these issues and begin to develop recommendations for best practice. Therefore, by virtue of its clinical and service focus in Nursing and allied health areas, it falls within the criteria for Special Initiative Funding.Read moreRead less